CMS's Proposed Hospital Staffing Revisions Get Cool Reception

Margaret Dick Tocknell, for HealthLeaders Media , January 3, 2012

Catholic Health Initiatives, a Colorado-based health system with facilities in 19 states, supports allowing patients and their caregivers to administer personal and hospital-based medications. "CMS is recognizing that different hospitals have different needs and that many hospital patients are already on maintenance drugs." CHI also supports the elimination of the dedicated log of infection incidents. "Currently, CMS requires an infection and communicable disease log separate from the hospital's general infection control surveillance policy. CMS is proposing to remove this redundant and burdensome requirement."

The National Kidney Foundation agrees with the elimination of the requirement that the transplantation team verify blood type before organ recovery because organ procurement organizations already perform that function. But to prevent medical errors the foundation wants the multiple checks of blood types to be maintained before transplantation. In its letter the foundation noted recent deaths related to incompatible organ transplants.

The American Telemedicine Association wants CMS to consider the advantages of telemedicine in setting requirements for emergency care and stroke treatment. "In the last 10 years telestroke initiatives have been instituted in practically every state…it is now time for CMS to take the next step to allow hospitals the use of telemedicine to eliminate the burden and cost of maintaining their own stroke specialists."

The comment period for the proposed rules ended Dec. 23. CMS has not announced a time frame for issuing its final rule on hospital conditions of participation.


Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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2 comments on "CMS's Proposed Hospital Staffing Revisions Get Cool Reception"

S Bork (1/9/2012 at 7:23 PM)
Amazing in one article it's all about value based purchasing and quality initiatives, then the next article with the real bottom line[INVALID]it's all about expecting better outcomes, but doing with less. Wanting higher quality but then maybe we can pull this off with untrained staff, or u-do-it medicine... Do you really think that eliminating an infection control log already in place is really in the patient's best interest? Or do you think maybe the hospitals "own tracking system" might just turn up different outcomes? Allowing hospitals to develop a "stand alone" nursing care plan is nice that way everyone can have the very same one. Saves money for sure as we won't really have to individualize the care. Why appoint medical staff to the the hospital when we can just throw open the doors and just let everybody operate when they get here? Same with credentialing[INVALID]toss it. You have a license right? Finally I must admit this one tops it all. One million lives lost, the previous focus on medication errors, thousands of articles, regulations, and rules and now just let the patients manage their own medications. I can just wait as they manage the pain medications. Do patients on the vent have to have a family member adjust the settings? Wow, what an amazing bunch of "proposals".

Jenise McGovern-Lowe (1/6/2012 at 10:35 AM)
I am an RN and a risk manager of an acute care hospital. I am opposed to allowing the patient or support person to administer medications. It would be a dangerous practice. A patients stay in the hospital is based off of an illness or event that requires medical intervention. A treatment plan for his illness is individually developed and based off of current illness/injury and concurrent medical history. Alot of information is collected and reported between medical disciplines licensed to make assessmnets. The assessmnet includes the pts. current condition and his reponse to the treatment provided. This requires a controlled environment that includes all of the consistent routines and any variables. Medication administration has to be a consistent routine and the patients response has a large role in the resolution of the illness, the discharge plan and hospital length of stay. There is a safety risk to the patient and the nurse if she/he were asked to make these medical assessments based off of only half of what she/he is sure of.




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